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The Black Belt

...decline. What had been one of America's richest and most politically powerful regions became one of its poorest. In the 1950s and 1960s, long-oppressed African American residents of the Alabama...

"Gaps in People's Lacks": James Franco's As I Lay Dying

...tentatively. It's this ambition that warrants respect when watching Franco's first foray into adapting the work of America's most notoriously unadaptable writer, William Faulkner. Unfortunately, this same ambition is what...

A Horrible, Beautiful Beast

...is now well documented by scholars, was foundational in the evolution of vaudeville, radio, and television programming in America. As Spike Lee's 2000 film Bamboozled makes clear, minstrelsy's images and...

White Flight: The Strategies, Ideology, and Legacy of Segregationists in Atlanta

Video...

Regions of Alabama

Video Part 2: Dr. Flynt offers an historical-geographical perspective on Alabama's economy from the antebellum era through 20th century Part 3: Dr. Flynt discusses the importance of a sense...

Southern Spaces Recommends

...Europe during the Thirty Years' War. It's like something the poet Charles Simic might imagine. I'm currently reading Pekka Hämäläinen's Lakota America, a history of the Sioux people that begins...

"In the Neighborhood": Towards a Human Geography of US Slave Society

...attack on a consensus history.2Louis Hartz, The Liberal Tradition in America: An Interpretation of American Political Thought since the Revolution (New York: Harcourt, Brace & World, 1955). In scores of...

Three Black Towns: An Excerpt from Black Landscapes Matter

...in America.1Joe A. Mobley, "In the Shadow of White Society: Princeville, a Black Town in North Carolina, 1865–1915," North Carolina Historical Review 63, no. 3 (1986): 340–84. Though Princeville may...

Still Digging Our Own Graves: Coal Miners and the Struggle over Black Lung Disease

...America (UMWA) had arisen, succeeded in a special election for leadership of the union, then disintegrated; the black lung movement had seemingly disappeared; and a storm of reaction was sweeping...

References
1.	The language of "miners' wives and widows" implies that all miners are male. However, since at the least the 1970s, women have worked in the mines, including underground, albeit in small numbers. I use the language of "wives and widows" because most black lung activists use this language in their organizing and their discussion of black lung compensation (e.g., "widows' claims").
2.	See Daniel M. Fox and Judith F. Stone, "Black Lung: Miners' Militancy and Medical Uncertainty, 1968–1972," Bulletin of the History of Medicine 54, no. 1 (1980): 43–63, for an early framing of the black lung struggle as between miners and physicians over the definition of disease. Their emphasis on medical uncertainty differs from the analysis in my own article, which came out during the same time period: Barbara Ellen Smith, "Black Lung: The Social Production of Disease," International Journal of Health Services 11, no. 3 (1981): 343–359.
3.	Journalistic and some scientific accounts equate coal workers' pneumoconiosis (CWP) with black lung. However, an essential component of the black lung movement was miners' and their families' struggle to broaden the definition, beyond CWP, of miners' disabling, occupationally related lung disease. Research by physicians and other scientists familiar with and sympathetic to miners and their health has validated this broader definition. See, for example, Edward L. Petsonk, Cecile Rose, and Robert Cohen, "Coal Mine Dust Lung Disease: New Lessons from an Old Exposure," American Journal of Respiratory and Critical Care Medicine 187, no. 11 (2013): 1178–85.
4.	This estimate of the number of black lung beneficiaries is extrapolated from data on the number of claims filed each year, changing approval rates, the annual total cost of claims, and, for some years, reports from the administering federal agency. See, for example, Social Security Administration, Annual Statistical Supplement to the Social Security Bulletin, 2016 (Washington, DC, 2017), Table 9. Beneficiaries who are miners and those who are widows, added together, do not equal the total number of miners judged disabled by black lung, as a widow may receive her husband's benefits after his death. Further, the number of beneficiaries is reported each year as a rolling total, and thus cannot be summed. The coronavirus interrupted my efforts to obtain more precise data. As of December 2018, an individual beneficiary is entitled to receive $660/month, which increases up to a maximum of $1,320 for those with three or more dependents. US Department of Labor, Division of Coal Mine Workers' Compensation, "Benefit Rates Under Part C, 1973–2018," accessed August 16, 2019, https://www.dol.gov/owcp/dcmwc/statistics/PastPartCBenefitRates.htm.
5.	Sam Roberts, "Dr. Donald L. Rasmussen, Crusader for Miners' Health, Dies at 87," New York Times, August 2, 2015, accessed September 29, 2019, https://www.nytimes.com/2015/08/03/health/research/dr-donald-l-rasmussen-crusader-for-coal-miners-health-dies-at-87.html.
6.	Dr. Cohen testified during the hearings on black lung, "Breathless and Betrayed." See "What is MHSA Doing to Protect Miners from the Resurgence of Black Lung Disease?" YouTube video, 2:58:39, June 20, 2019, House Committee on Education and Labor, https://www.youtube.com/watch?v=sJUDcTf0a_g.
7.	NIOSH, Criteria for a Recommended Standard: Occupational Exposure to Respirable Coal Mine Dust, publication no. 95–106 (Washington, DC: US Government Printing Office, 1995), xxii, https:// www.cdc.gov/niosh/docs/95-106/default.html.
8.	Austyn Gaffney, "As Black Lung Strikes Younger Coal Miners, Kentucky Restricts Medical Benefits," NRDC, September 24, 2018, accessed September 29, 2018, https://www.nrdc.org/stories/black-lung-strikes-younger-coal-miners-kentucky-restricts-medical-benefits.
9.	This summary of miners' perspectives on the origins of black lung and the role of physicians in advocating a restrictive view of work-related, compensable disease is based on the author's interviews and observations in southern West Virginia at different moments during the past five decades.
10.	Howard S. Berliner and J. Warren Salmon, "The Holistic Health Movement and Scientific Medicine: The Naked and the Dead," Socialist Review 9, no. 1 (January–February 1979): 31–52.
11.	See Talcott Parsons, The Social System (New York: Free Press, 1951). Parsons's conceptualization of the sick role was neither class nor historically specific.
12.	Author's interview with Danny Whitt, Matewan, WV, September 4, 2019.

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